University of Córdoba, Argentina
University of Córdoba, Argentina
University of Córdoba, Argentina
* Corresponding author

Article Main Content

Melatonin may interfere with the function of osteoclasts and inhibit bone resorption mainly due to its antioxidant properties and ability to detoxify free radicals. This inhibition can be enhanced by the reaction of indolamine in osseoclastogenesis and may have benefits in implantology.

Aims: To evaluate the mechanical and biological behavior of osseointegration using melatonin.

To compare the stability coefficient of implants at the time of placement (initial or mechanical ISQ) and after 60 days (final or biological ISQ).

To measure the disinsertion torque in both groups of rabbits, with and without melatonin application.

Materials and Methods: A total of 16 implants of the same brand and size were placed, with 9 of them receiving 3mg of melatonin powder prior to installation and 7 control implants without melatonin. Resonance frequency analysis (Osstell®) was used to measure initial and biological anchorage, as well as removal torque.

Results: The mean removal torque for melatonin-treated implants was 99.8 Ncm, and for control implants, the mean was 87.2 Ncm. The differences between the two groups were not statistically significant. However, there were significant differences in biological ISQ values.

Conclusions: The use of melatonin improved the response to osseointegration, particularly in the measurement of final or biological ISQ values.

References

  1. Buser D, Mericske-Stern R, Bernard JP, Behneke A, Behneke N, Hirt HP, et al. Longterm evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res. 1997; 8:161-172.
     Google Scholar
  2. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986;1(1), 11-25.
     Google Scholar
  3. Branemark PI, Adell R, Albrektsson T, Lekholm U, Lundkvist S, Rockler B. Osseointegrated titanium fixtures in the treatment of edentulousness. Biomaterials 1983; 4: 25-28.
     Google Scholar
  4. Lynch SE, Buser D, Hernandez RA et al. Effects of the platelet-derived growth factor/insulin-like growth factor-I combination on bone regeneration around titanium dental implants. Results of a pilot study in beagle dogs. J Periodontol. 1991;62:710–716.
     Google Scholar
  5. Cook JJ, Haynes KM, Werther GA. Mitogenic effects of growth hormone in cultured human fibroblasts. Evidence for action via local insulin-like growth factor I production. J Clin Invest. 1988;81:206–212.
     Google Scholar
  6. Tresguerres IF, Clemente C, Donado M, Gómez-Pellico L, Blanco L, Alobera MA, Tresguerres JA. Local administration of growth hormone enhances periimplant bone reaction in an osteoporotic rabbit model. Clin Oral Implants Res 2002;13:631–636.
     Google Scholar
  7. Cardinali DP, Ladizesky MG, Boggio V, Cutrera RA, Mautalen C. Melatonin effects on bone: experimental facts and clinical perspectives. J Pineal Re.s 2003; 34:81–87.
     Google Scholar
  8. Ladizesky MG, Cutrera RA, Boggio V, et al. Effect of melatonin on bone metabolism in ovariectomized rats. Life Sci. 2001; 70:557–565.
     Google Scholar
  9. Ladizesky MG, Boggio V, Albornoz LE, Castrillón PO, Mautalen C, Cardinali DP. Melatonin increases oestradiolinduced bone formation in ovariectomized rats. J Pineal Res. 2003; 34:143–151.
     Google Scholar
  10. Jockers R, Maurice P, Boutin JA, Delagrange P. Melatonin receptors, heterodimerization, signal transduction and binding sites: what's new? Br J Pharmacol. 2008;154(6):1182–1195. doi:10.1038/bjp.2008.184.
     Google Scholar
  11. Gómez-Moreno G, Aguilar-Salvatierra A, Boquete-Castro A, et al. Outcomes of topical applications of melatonin in implant dentistry: a systematic review. Implant Dentistry. 2015 Feb;24(1):25-30.
     Google Scholar
  12. Conti A, Conconi S, Hertens E, Skwarlo-Sonta K, Markowska M, Maestroni JM. Evidence for melatonin synthesis in mouse and human bone marrow cells. J Pineal Res. 2000;28:193–202.
     Google Scholar
  13. Arora H, Ivanovski S. Melatonin as a pro-osteogenic agent in oral implantology: a systematic review of histomorphometric outcomes in animals and quality evaluation using ARRIVE guidelines. J Periodontal Res. 2017 Apr;52(2):151-161.
     Google Scholar
  14. Nakade O, Koyama H, Ariji H et al. Melatonin stimulates proliferation and type I collagen synthesis in human bone cells in vitro. J Pineal Res. 1999; 27:106–110.
     Google Scholar
  15. Cutando A, Gomez-Moreno G, Arana C, et al. Melatonin stimulates osteointegration of dental implants. J Pineal Res. 2008; 45: 174-179.
     Google Scholar
  16. Tresguerres IF, Clemente C, Blanco L, Khraisat A, Tamimi F, Tresguerres JA. Effects of local melatonin application on implant osseointegration. Clin Implant Dent Relat Res. 2012; 14: 395-399.
     Google Scholar
  17. Sullivan DY, Sherwood RL, Collind TA, Krogh PH. The reverse torque test: A clinical report. Int J Oral Maxillofac Implants. 1996;11:179-85.
     Google Scholar
  18. Buser, D., Nydegger, T., Hirt, H. P., Cochran, D. L., & Nolte, L. P. (1997). Removal torque values of titanium implants in the maxilla of miniature pigs. The International Journal of Oral & Maxillofacial Implants. 13(5), 611-619.
     Google Scholar
  19. Simeone SG, Rios M, Simonpietri J. Reverse torque of 30Ncm applied to dental implants as test for osseointegration-a human observational study. Int J Implant Dent. 2016;2(1):26.
     Google Scholar
  20. A-Meredith N, Alleyne D, and Cawley P. Quantitative determination of the stability of the implant‐tissue interface using resonance frequency analysis. Clinical Oral Implants Research. 1996;7(3): 261-267.
     Google Scholar
  21. Turkyilmaz I, McGlumphy EA. Influence of bone density on implant stability parameters and implant success: retrospective clinical study. BMC Oral health. 2008, 8: 32 doi: 10. 1186/1472-6831-8-32.
     Google Scholar
  22. Piero BP, Cozzolino A, Ghelli L, Momicchioli G, and Varriale A. Stability measurements of osseointegrated implants using Osstell in partially edentulous jaws after 1 year of loading: a pilot study. Clinical implant Dentistry and Related Research. 2002;4(3):128-132.
     Google Scholar
  23. Degidi M, Piattelli A, Gehrke P, Francesco C. Clinical outcome of 802 immediately loaded 2-stage submerged implants with a new grit-blasted and acid-etched surface: 12-month follow-up. Int J Oral Maxillofac Implants. 2006, 21:763-768.
     Google Scholar
  24. Ibanez MC, Ibanez MI, Tahan M, Ibanez JC. Influence of the orientation of the Osstell ISQ sensor on the values of the stability coefficient of the implants. Rev. Asoc. Odontol. Argent. 2014;102(4):166-171, oct.-dic. 2011.
     Google Scholar
  25. Koyama H, Nakade O, Takada Y, Kaku T, Lau KH. Melatonin at pharmacologic doses increases bone mass by suppressing resorption th rough downregulation of the ANKL-mediated osteoclast formation and activation. J. Bone Miner. Res. 2002; 17: 1219–1229.
     Google Scholar
  26. Dundar S, Yaman F, Saybak A, Ozupek MF, Toy VE, Gul M, Ozercan IH. Evaluation of Effects of topical melatonin application on osseointegration of dental implant: an experimental study. J Oral Implantol. 2016 Oct;42(5):386-389.
     Google Scholar
  27. Yamazaki, Shin, Ochi M, Hirose Y, Nakanishi Y, and Nakade O. Melatonin enhances peri-implant osteogenesis in the femur of rabbits. J Oromax Biomech. 14(2008)34-38.
     Google Scholar
  28. Calvo-Guirado JL, Ramírez-Fernández MP, Gómez-Moreno G, Maté-Sánchez JE, Delgado-Ruiz R, Guardia J, López-Marí L, Barone A, Ortiz-Ruiz AJ, Martínez-González JM, Bravo LA. Melatonin stimulates the growth of new bone around implants in the tibia of rabbits. J Pineal Res. 2010 Nov;49(4):356-63.
     Google Scholar
  29. El-Gammal MY, Salem AS, Anees MM, Tawfik MA. Clinical and radiographic evaluation of immediate loaded dental implants with local application of melatonin: a preliminary randomized controlled clinical trial. J Oral Implantol. 2016 Apr;42(2):119-25.
     Google Scholar


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